MEDICARE: MEDICAL STAFFING NETWORK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1952542961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL STAFFING NETWORK, INC.

Provider Business Mailing Address
First Line	:	901 YAMATO RD STE 110
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-4415
Country	:	US
Telephone Number	:	561-322-1300
Fax Number	:	561-322-1445

Provider Business Practice Location Address
First Line	:	1821 OREGON PIKE STE F
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-6466
Country	:	US
Telephone Number	:	717-569-8751
Fax Number	:	717-569-8752

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEVIN LITTLE
Credential	:
Telephone Number	:	561-322-1300

Provider Enumeration Date	:	03/20/2009
Last Update Date	:	03/26/2009

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